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Michigan rates for HCPCS E2291

Back, planar, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.98 / $238.98 / $238.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.01 / $238.98 / $271.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.13 / $307.13 / $307.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.98 / $238.98 / $238.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00